Fill and Sign the Free Real Estate Power of Attorney Form

Prepared by, recording requested by and return to: ---------------------- Above this Line for Official Use Only --------------------- Name: Company: Address: City: State: Zip: Phone: Fax: SPECIAL POWER OF ATTORNEY FOR CLOSING REAL ESTATE TRANSACTION (Agent for Seller) STATE OF KANSAS COUNTY OF ____________ KNOW ALL MEN BY THESE PRESENT, THAT I ________________________, whose address is ___________________________________, ________________ (City), __________________ (State), ________ (Zip), desiring to execute a SPECIA L POWER OF ATTORNEY, hereby appoint, ______________________________, of ____________________ County, Kansas, as my Attorney -in-Fact to act as follows, GRANTING unto my Attorney -in-Fact full power to: To do all things necessary to close on the sale of the property described below, commonly known as ____________________________________________ (address), with full power and authority for me and in my name to execute any and all documents necessary to effect the sale, conveyance and settlement on said proper ty to any person or persons of his choosing, including but not limited to, deeds, checks, receipts, releases, warranties, affidavits, contracts, addenda, settlement statements, loan commitments and disclosure statements, truth -in-lending statements, all fo rms of commercial papers, endorsements to checks, or the like, and any such other instrument or instruments in wr iting of whatever kind, character and nature as may be necessary to complete the sale, financing arrangements, and the settlement process . FURTHER GRANTING full power and authority to collect and receive any funds or proceeds of said sale in any manner whi ch, in his sole discretion, he sees fit. The legal description of the property is as follows, to -wit: [INSERT DESCRIPTION OR ATTACH EXHIBIT] I hereby ratify and confirm all that said attorney -in-fact shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. All acts done by means of this power shall be done in my name, and all instrumen ts and documents executed by my Attorney hereunder shall contain my name, followed by that of my attorney and the description "Attorney -in-Fact", excepting however any situation where local practice differs from the procedure set forth herein, in that even t local practice may be followed. This SPECIAL POWER OF ATTORNEY shall be valid and may be relied upon by any third parties until such time as any revocation is recorded in the recorder's office of the county where the land is located. DATED this the ____ ____ day of ___________________, 20____. ________________________________ Signature Print Name: ______________________ STATE OF KANSAS COUNTY OF ___________________ This instrument was acknowledged to me on _____________________________ __ (date) by ________________________________ [name(s) of person(s)]. ______________________________ Notary Public Print Name: ___________________ My commission expires: ___________________ Principal Name and Address Attorney -in-Fact Name and Address Name: Name: Address: Address: City: City: State: Zip: State: Zip: Phone: Phone: